Individual
CARRIE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3030 NW EXPWY SUITE # 809, OKC, OK 73165
(405) 917-7160
Mailing address
201 E KITTYHAWK DR, OKLAHOMA CITY, OK 73110-5313
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA544
OK
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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